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From the 1/14/2022 release of VAERS data:

This is VAERS ID 201164

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Case Details

VAERS ID: 201164 (history)  
Form: Version 1.0  
Age: 49.0  
Sex: Female  
Location: Ohio  
Vaccinated:2003-03-20
Onset:2003-03-21
   Days after vaccination:1
Submitted: 2003-03-27
   Days after onset:6
Entered: 2003-04-09
   Days after submission:12
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
FLU3: INFLUENZA (SEASONAL) (FLUZONE) / SANOFI PASTEUR U0909AA / 4 - / -

Administered by: Public       Purchased by: Public
Symptoms: Pain, Somnolence
SMQs:, Anticholinergic syndrome (broad), Dementia (broad), Noninfectious encephalitis (broad), Noninfectious encephalopathy/delirium (broad), Noninfectious meningitis (broad), Hypoglycaemia (broad)

Life Threatening? Yes
Birth Defect? No
Died? No
Permanent Disability? Yes
Recovered? Yes
Office Visit? No
ER Visit? Yes
ER or Doctor Visit? No
Hospitalized? No
Previous Vaccinations:
Other Medications: NONE
Current Illness: Flu
Preexisting Conditions: Tuberculosis, Diabetes, HBP, GERD hyperliperdemia. Glaucoma COPD psychosis
Allergies:
Diagnostic Lab Data:
CDC Split Type:

Write-up: Pain in arms, drowsiness.


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